Please Note: We can only accept membership applications from qualified medical doctors.
(Minimum requirements: MBChB)

I am completing this form as a registered Healthcare Professional.
Consent to Process Personal Information
The society uses Your Personal data to process your membership application. By using the Service, You agree to the collection and use of information in accordance with the AAMSSA Privacy Policy and the Terms and Conditions.
I understand the purpose for disclosing this personal information. Collection of this information complies with The Protection of Personal Information Act 4 of 2013 (POPI), South Africa.
I accept the AAMSSA Privacy Policy and the Terms & Conditions.
Procedure History:
Please indicate the average amount of procedures performed per month for the following:
Aesthetic and Anti-Aging Medicine Trainings Attended in the past 24 months:
No
Yes
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I hereby give my consent to AAMSSA to upload my profile picture provided by me to upload in the Find a Doctor section. I may exercise my right to withdraw the use of my profile picture anytime after from the effectivity of this consent.
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Yes, please show my profile on Find A Doctor search
I confirm that the above information that has been captured by myself is true and correct at the time of submitting this application